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Third year BMS here! Glad to hear from another. I would potentially say that it could be to do with the wording of questions. If you feel like your efforts are fruitful and result in your understanding of the topics the perhaps the wording of some questions is throwing you off with what is actually being required! Are your exams heavily essay based or are there a mix of MCQs and short answers as well? I know some topics can be quite tricky and sometimes I can feel like I understand something but I’m not quite there yet! That’s a place that can become sticky in the Sciences as sometimes you can make assumptions based on incorrect findings which is a treacherous path! Anyway I digress, for me adjusting to the wording of university style questioning was a challenge so that’s why I suggest this!